Solaris Health

Compensation

Full Description

Job Description: • The Insurance Accounts Receivable Specialist I is responsible for performing entry-level insurance billing and follow-up tasks to support timely and accurate reimbursement. • This includes submitting claims, reviewing basic denials, and conducting follow-up on outstanding balances under supervision. • The role focuses on learning workflows, applying standard procedures, and escalating more complex issues as needed. • Perform billing-related tasks as assigned, including data entry, claim review, charge review, and accounts receivable follow-up. • Focus on resolving entry-level insurance denials, such as those related to medical records, eligibility, and coordination of benefits (COB). • Complete daily tasks within assigned work queues based on manager direction and established workflows. • Utilize CBO Pathways, payer websites, billing systems, and training materials to determine appropriate actions for resolving unpaid or underpaid claims and authorizing procedures. • Identify potential issues related to payer requirements, provider credentialing, or coding, and escalate to management as appropriate. • Review reports to identify unpaid claims and potential revenue opportunities. • Communicate effectively with providers, patients, coders, and other stakeholders to ensure accurate and timely claims processing. • Adhere to departmental workflows, operational policies, compliance guidelines, and regulatory requirements, including FGP and patient confidentiality standards. • Provide input on system edits, process improvements, policies, and billing procedures to support revenue cycle optimization. • Participate in meetings and workgroups, complete all required training sessions, and actively seek additional training when needed. • Read and apply policies and procedures to make informed decisions, coordinate functions with team members, and explain processes clearly to others. • Make system corrections and resubmit claims as necessary to meet payer requirements. • Performs other position related duties as assigned. Requirements: • High school diploma or equivalent required. • Previous experience in a customer service or healthcare setting preferred. • Excellent interpersonal and communication skills. • Strong customer service orientation and a friendly, approachable demeanor. • Basic knowledge of medical facility layout and department functions (training provided). • Dependability and punctuality. • Ability to work independently and as part of a team. • Cultural sensitivity and ability to interact respectfully with diverse populations. • Skill in using computer programs and applications including Microsoft Office. Benefits: • Health insurance • Dental insurance • Vision insurance • Life Insurance • Pet Insurance • Health savings account • Paid sick time • Paid time off • Paid holidays • Profit sharing • Retirement plan